Methods, systems, and media for presenting interactive audio content are provided. In some embodiments, the method includes: receiving narrative content that includes action points, wherein each of the action points provides user actions and a narrative portion corresponding to each of the user actions; determining a user engagement density associated with the narrative content, wherein the user engagement density modifies the number of the action points to provide within the narrative content; causing the narrative content to be presented to a user based on the user engagement density; determining that a speech input has been received at one of the action points in the narrative content; converting the speech input to a text input; determining whether the user action associated with the text input corresponds to one of the user actions; selecting the narrative portion corresponding to the text input in response to determining that the user action corresponds to one of the user actions; converting the selected narrative portion to an audio output; and causing the narrative content with the converted audio output of the selected narrative portion to be presented to the user.